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ERIC D. MEDINA, PLLC - Florida Company Profile

Company Details

Entity Name: ERIC D. MEDINA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ERIC D. MEDINA, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Jul 2019 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2023 (2 years ago)
Document Number: L19000174320
FEI/EIN Number 84-2873924

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7000 West Camino Real, Boca Raton, FL, 33433, US
Mail Address: 18156 Clear Brook Circle, Boca Raton, FL, 33498, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548819618 2019-09-10 2019-12-18 18156 CLEAR BROOK CIR, BOCA RATON, FL, 334981943, US 18156 CLEAR BROOK CIR, BOCA RATON, FL, 334981943, US

Contacts

Phone +1 561-251-9099

Authorized person

Name ERIC MEDINA
Role OWNER
Phone 5612519099

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number ME135030
State FL

Key Officers & Management

Name Role Address
Medina Eric DDr. Manager 18156 Clear Brook Circle, Boca Raton, FL, 33498
MEDINA ERIC D Agent 18156 CLEAR BROOK CIRCLE, BOCA RATON, FL, 33498

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000128131 RADIANT EYES OF BOCA EXPIRED 2019-12-04 2024-12-31 - 1601 CLINT MOORE ROAD, SUITE 130, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-02 - -
REGISTERED AGENT NAME CHANGED 2023-10-02 MEDINA, ERIC D -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2022-03-30 7000 West Camino Real, Boca Raton, FL 33433 -
CHANGE OF MAILING ADDRESS 2022-03-30 7000 West Camino Real, Boca Raton, FL 33433 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
REINSTATEMENT 2023-10-02
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-29
Florida Limited Liability 2019-07-05

Date of last update: 01 Apr 2025

Sources: Florida Department of State